| NPI | 1124269766 |
|---|---|
| Other Name | DAVID NATHANIEL FOX FAIRBANKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D0001515) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD25514) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |